Literature Review

Melinda Mullet: Hospice helps us die well. But barriers and misconceptions prevent access to services. The Spokesman-Review, Spokane, WA; by Melinda Mullet; 9/28/25 Hospice helps us die well. But barriers and misconceptions prevent access to services. ... To read an in-depth analysis of the barriers to hospice and the steps needed to ensure a robust end-of-life care in the future, my full report, “The Hope of Hospice: Reimaging End-of-Life Care in an Aging America,” is available at cpjustice.org/flipbook/2025-hatfield-prize-reports.

Virtual visits boost hospice home care services across Dallas-Fort Worth area The Smithfield Times, Aubrey, TX; Press Services; 9/26/25 Sovereign Hospice in Aubrey, TX, explains how telehealth and virtual visits help patients and families get hospice home care services faster. In the Dallas–Fort Worth area, these tools let nurses and doctors check patients quickly and answer questions without delay. Families far away can also join care meetings by video, making them part of the journey and improving understanding of the services the hospice offers.

New AAHPM CEO on ensuring widespread access to hospice and palliative care Hospice News; by Jim Parker; 9/25/25 Workforce, access to care, reimbursement and public policy are top agenda items for the A merican Academy of Hospice and Palliative Medicine as new CEO Pierre M. Désy takes the reins. ... Hospice News sat down with Désy to discuss the academy’s current priorities and the top issues facing hospice and palliative medicine. ... [Jim Parker] "Could you tell me some of your top priorities as you come into this new role?" [Dr. Pierre Désy] I have been focusing on listening and alignment. So the first part is a listening tour and relationship building tour, where I’m talking with every board member, one on one. I’m talking with committee chairs, council chairs. I’m speaking with all of our partners, every staff person, sponsors and individual donors.

[United Kingdom] 2 in 5 hospices planning to make cuts this year ehospice; by Hospice UK; 9/24/25 Data from Hospice UK reveals that as many as 2 in 5 hospices are planning to make cuts this year. With demand for services rising fast, the stark reality of insufficient funding leaves hospices with no option but to shrink services just as they should be expanding. Toby Porter, CEO of Hospice UK says: “Hospices are on the brink. Recent short-term funding for hospices in England, Scotland and Wales has been a genuine help, but as costs continue to snowball and demand keeps rising hospices can’t keep up and many are making or considering cuts. 

Building blocks of hospice family caregiver support Hospice News; by Holly Vossel; 9/24/25 Untapped reimbursement opportunities exist when it comes to developing a sustainable family caregiving infrastructure in the face of rising demand for home-based hospice care. ... Among the payment avenues with potential to improve support for caregivers is the Medicaid-funded Structured Family Caregiving (SFC) program. SFC coverage includes a modest financial stipend to health care providers that offer home- and community-based services for caregivers. ... Roughly 63 million Americans are family caregivers, an increase of nearly 50% since 2015, according to a report from the National Alliance for Caregiving and AARP. About one-in-every-four adults is a caregiver to a family member, with 40% of these individuals providing high-intensity care, the report found. About half of the nation’s caregivers reported negative financial impacts, with one-in-five unable to afford basic needs such as food and 25% taking on debt. Additionally, one-in-five caregivers have poor health outcomes, the report found.Editor's Note: Are you aware that the 2008 CMS Hospice Conditions of Participation identify the "family" 423 times? (Yes, I've searched, counted, and categorized.) Click here for AARP's 2025 edition of Caregiving in the US.

Hospice home for veterans named after philanthropist in Nevada Audacy.com - Connecting Vets; by Julia DeDoux; 9/22/25 A Reno, Nevada-based nonprofit dedicated to ensuring veterans have access to the medical care they need has named its newly opened hospice home in honor of a philanthropist whose gifts have been critical to its efforts. Veterans Guest House said the facility, which opened in June, will be known as the Cynthia Lake House. Lake has been instrumental in expanding access to both medical and end-of-life care for veterans across northern Nevada. In 2022, she founded Veterans Guest House’s Patient Advocacy Program, which connects veterans with transportation, post-operative care, and personal support. The impact of the program inspired Lake to scale the vision to 24/7 personalized care, making the hospice house possible.

Enhancing hospice care: St. Gabriel's Joins LifeCare family Investors Hangout; by Caleb Price; 9/23/25 St. Gabriel's Hospice & Palliative Care has officially become part of the LifeCare Home Health (LCHH) family, a significant step in strengthening hospice care across Texas. This collaboration aligns with LifeCare's ongoing mission to expand its hospice offerings, particularly after the recent acquisitions of Fairmont Hospice and Valley Hospice. ... Founded by healthcare executive Chris Cain, St. Gabriel's Hospice has been dedicated to providing compassionate end-of-life care since 2012. The agency proudly serves approximately 300 patients with a devoted team of over 200 professionals. 

The role of the palliative medicine and supportive oncology APP Oncology Nursing News; by Antonia Corrigan, MSN, ANP-C; 9/22/25 ... A cancer diagnosis can bring an avalanche of psychosocial and physical obstacles for patients to navigate. ... Advanced practice providers (APPs) are key in providing quality supportive care. ... The American Society of Clinical Oncology (ASCO) guidelines recommend that patients with cancer be referred to interdisciplinary palliative care teams within 8 weeks of diagnosis. Early palliative referral benefits patients with high symptom burden, both physical and psychosocial, and enhances caregiver support. 

What makes a good death? GeriPal - A Geriatrics and Palliative Care Podcast for Every Healthcare Professional; by Alex Smith with Karen Steinhauser, Rasa Mikelyte and Edison Vidal; 9/18/25What is a “good death”? How should we define it, and who gets to decide? Is the concept of a “good death” even useful? ... In today’s podcast, we are honored to have Karen join us to discuss this pivotal study and the nature of a “good death”. We are also joined by Rasa Mikelyte and Edison Vidal, co-authors of a recent study comparing the perspectives of people with dementia in the UK and Brazil on what constitutes a good death. In addition to exploring the nature of a good death and their individual studies, we will discuss:

Study finds hospice providers “game” Medicare Payment Cap, but with modest impact on costs Penn LDI - Leonard Davis Institute of Health Economics; by Julia Hinkcley, JD; 9/16/25 ... Each year, about half of Medicare beneficiaries who die receive hospice services. A new study by LDI Senior Fellow and Director of Research Norma Coe and her colleague David Rosenkranz shows that some hospice agency decision-making may be intended to increase payments by undercutting the annual revenue cap that Medicare imposes. But this “gaming” of the payment rules creates only modest increases in both hospice enrollment and spending. The study’s findings also support MedPAC’s view that wage index-adjusting the cap could make it more equitable across hospice programs, but the authors caution that the MedPAC proposal to reduce the cap by 20 percent might lead some hospice providers to close, and therefore requires more analysis.

How Tampa Bay is rethinking healthcare for long-term growth Capital Analytics Associates (CAA); by Andrea Teran; 9/16/25 Tampa Bay continues to attract tens of thousands of new residents each year, while Florida’s senior population is on pace to double by 2050. In response, healthcare leaders across the region are being pushed to rethink how care is delivered, expanded, and made more equitable. ... [A session titled] "Future-Proofing Health: What Tampa Bay’s Rise as a Global Healthcare Hub Means for Communities" ... brought together executives from Tampa General Hospital, Johns Hopkins All Children’s Hospital, Empath Health, and Gulfside Healthcare Services. Over the course of the discussion, panelists explored five central themes: collaboration, access, innovation, workforce development, and the region’s evolving healthcare identity.

Has human life expectancy already peaked?Vice; by Luis Prada; 9/10/25 For most of the 20th century, human life expectancy skyrocketed. Advancements in hygiene science, a wide variety of medical innovations and discoveries ... have all helped our collective life expectancies tremendously. According to a new study, however, we may have topped out. In the study, published in PNAS and spotted by Science Alert, an international team of researchers crunched the numbers on people born between 1939 and 2000 in 23 high-income countries, using six different forecasting models.Editor's Note: I recall a hospice CE conference around 2005, where a healthcare data statistician presented projections on mortality trends. Based on the previous century’s gains, the data suggested that babies born then could live well past 100—with 120 years as a realistic possibility. This new study raises the provocative question of whether those optimistic forecasts may already have reached their limits.

A workflow initiative to increase the early palliative care referral rate in patients with advanced cancer MDedge - Federal Practitioner - Quality Improvement; by Judy Lim, MD and Linda D. Nguyen, DNP, NP-C, MD; 9/3/25 ... The American Society of Clinical Oncology and the World Health Organization recommend that every patient with advanced cancer should be treated by a multidisciplinary palliative care team early in the course of the disease and in conjunction with anticancer treatment. Despite the documented benefits and the recommendations, early PC is still not often offered in clinical practice.